The effect of watching video method on pain level and physiological parameters during vaccine injection in children: A randomized controlled study

The research was conducted as a randomized controlled type experimental study to determine the effect of watching video method on pain level and physical parameters, which was applied during vaccine injection in 12-24 month old children. The research was carried out in Kaynaşlı State Hospital Family Medicine between November 2019 and March 2020. The sample of the study consisted of a total of 60 children (experimental group=30, control group=30), who accepted to participate in the study as a result of the power analysis and met the sample selection criterias. During the vaccination process, the children in the experimental group were to apply a whatching video method, while the children in the control group were only routine vaccinated. In the collection of data; the "Personal Information Form", which was developed by the researcher based on the literature review, containing the descriptive features of the child and the parent, the "FLACC Pain Scale" for the evaluation of the child's pain before, during and after the vaccine injection, and the "Physiological Measurement Form" for the evaluation of the physiological parameters in children were used. The datas obtained in the research were analyzed by transferring them to the IBM SPSS Statistics 28 package program. As a result of the analyzes applied, it was found that the children in the video watching group had significantly lower FLACC Pain Scale scores during and after the procedure than the children in the control group (p<0.001). According to this result, it was seen that the video watching method applied as a distraction method during vaccine injection to 12-24 month-old children was effective in reducing the level of pain felt. In terms of physiological parameters, the post-procedure heart rate values of the children in the experimental group were significantly higher than the control group (p<0.05); it was found that the oxygen saturation values of the children in the control group decreased significantly after the procedure compared to the pre-procedure (p<0.05). In line with these results, it is recommended to use the video surveillance method in order to reduce the pain level of children who are given vaccine injection and to positively affect the oxygen saturation values. Keywords: Children, Distraction,Nursing, Pain, Watching video